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双重麻烦：一例双叶状左心耳需要双叶和盘状装置方法处理。

Double Trouble: A Bifid Left Atrial Appendage Requiring a Double Lobe-and-Disk Device Approach.

作者信息

Hsia Brian, Bamira Daniel, Jankelson Lior, Aizer Anthony, Chinitz Larry, Saric Muhamed

机构信息

Leon H. Charney Division of Cardiology, NYU Langone Health, New York, New York.

出版信息

CASE (Phila). 2025 Jun 30;9(8):257-261. doi: 10.1016/j.case.2025.05.002. eCollection 2025 Aug.

DOI:10.1016/j.case.2025.05.002
PMID:40949748
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12426835/
Abstract

• LAAO devices are used for patients with AF intolerant of anticoagulation. • Periprocedural multimodality imaging is crucial for successful device deployment. • LAAs with bifid morphologies are uncommon and pose procedural challenges. • We describe closure of a bifid LAA using 2 side-by-side lobe-and-disk devices.

摘要

• 左心耳封堵（LAAO）装置用于对抗凝治疗不耐受的房颤患者。

• 围手术期多模态成像对于装置的成功植入至关重要。

• 具有双叶形态的左心耳并不常见，且会带来手术挑战。

• 我们描述了使用两个并排的叶状和盘状装置封闭双叶左心耳的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/202bb9811673/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/49c16f8b1f79/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/9983587b2cb8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/7fdf0f513266/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/4045ae1c6b3e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/baf030ec40e9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/fff57823172e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/202bb9811673/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/49c16f8b1f79/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/9983587b2cb8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/7fdf0f513266/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/4045ae1c6b3e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/baf030ec40e9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/fff57823172e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6df3/12426835/202bb9811673/gr6.jpg

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本文引用的文献

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Impact of Device Implant Depth After Left Atrial Appendage Occlusion.
左心耳封堵术后装置植入深度的影响。
JACC Cardiovasc Interv. 2023 Sep 11;16(17):2139-2149. doi: 10.1016/j.jcin.2023.05.045. Epub 2023 Aug 9.
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Impact of left atrial appendage occlusion device position on potential determinants of device-related thrombus: a patient-specific in silico study.经皮左心耳封堵装置位置对装置相关血栓潜在决定因素的影响：一项基于患者个体的计算机模拟研究。
Clin Res Cardiol. 2024 Oct;113(10):1405-1418. doi: 10.1007/s00392-023-02228-x. Epub 2023 Jun 9.
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Device-Sizing and Associated Complications With Left Atrial Appendage Occlusion: Findings From the NCDR LAAO Registry.左心耳封堵装置大小与相关并发症：来自 NCDR LAAO 注册研究的结果。
Circ Cardiovasc Interv. 2022 Dec;15(12):e012183. doi: 10.1161/CIRCINTERVENTIONS.122.012183. Epub 2022 Dec 6.
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Occlusion of Bilobulated Left Atrial Appendage Using the Dual-Watchman Technique: A Long-Term Follow-Up Study.使用双瓣Watchman技术封堵分叶状左心耳：一项长期随访研究
Front Cardiovasc Med. 2022 Mar 22;9:854475. doi: 10.3389/fcvm.2022.854475. eCollection 2022.
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Left Atrial Occlusion Device Implantation: the Role of the Echocardiographer.左心房闭塞装置植入术：超声心动图医师的角色。
Curr Cardiol Rep. 2019 Jun 10;21(7):66. doi: 10.1007/s11886-019-1151-7.
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Left Atrial Appendage Occlusion/Exclusion: Procedural Image Guidance with Transesophageal Echocardiography.左心耳封堵/隔离术：经食管超声心动图的介入影像引导。
J Am Soc Echocardiogr. 2018 Apr;31(4):454-474. doi: 10.1016/j.echo.2017.09.014. Epub 2017 Nov 20.
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